Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa

 

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dc.contributor.author Parker, Whadi-ah en_ZA
dc.contributor.author Steyn, Nelia en_ZA
dc.contributor.author Levitt, Naomi en_ZA
dc.contributor.author Lombard, Carl en_ZA
dc.date.accessioned 2015-11-18T03:55:13Z
dc.date.available 2015-11-18T03:55:13Z
dc.date.issued 2012 en_ZA
dc.identifier.citation Parker, W. A., Steyn, N. P., Levitt, N. S., & Lombard, C. J. (2012). Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa. BMC public health, 12(1), 503. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/15063
dc.identifier.uri http://dx.doi.org/10.1186/1471-2458-12-503
dc.description.abstract BACKGROUND: Due to a paucity of data regarding the availability and efficacy of equipment, health promotion methods and materials currently used by health professionals for the management of patients with non-communicable diseases (NCDs) at primary health care (PHC) facilities in Cape Town, an audit was undertaken. METHODS: A multi-centre cross-sectional study was undertaken to interview patients (n=580) with NCDs at 30 PHC facilities. A questionnaire was used to obtain information on preferences for health promotion methods for lifestyle modification. Individual semi-structured interviews were conducted with selected health professionals (n=14) and captured using a digital recorder. Data were transferred to the Atlas ti software programme and analysed using a thematic content analysis approach. RESULTS: Blood pressure measurement (97.6%) was the most common diagnostic test used, followed by weight measurement (88.3%), urine (85.7%) and blood glucose testing (80.9%). Individual lifestyle modification counselling was the preferred health education method of choice for the majority of patients. Of the 64% of patients that selected chronic clubs/support groups as a method of choice, only a third rated this as their first choice. Pamphlets, posters and workshops/group counselling sessions were the least preferred methods with only 9%, 13% and 11% of patients choosing these as their first choice, respectively. In an individual counselling setting 44.7% of patients reported that they would prefer to be counselled by a doctor, followed by a nurse (16.9%), health educator (8.8%) and nutrition advisor (4.8%). Health professionals identified numerous barriers to education and counselling. These can be summarised as a lack of resources, including time, space and equipment; staff-related barriers such as staff shortage and staff turnover; and patient-related barriers such as patient load and patient non-compliance. CONCLUSION: The majority of patients attending PHC facilities want to receive lifestyle modification education. There is not however, one specific method that can be regarded as the gold standard. Patients' preferences regarding health education methods differ, and they are more likely to be susceptible to methods that do not involve much reading. Health education materials such as posters, pamphlets and booklets should be used to supplement information received during counselling or support group sessions. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Public Health en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpublichealth/ en_ZA
dc.subject.other Patient preferences en_ZA
dc.subject.other Health education materials en_ZA
dc.subject.other Health education methods en_ZA
dc.subject.other Chronic diseases of lifestyle en_ZA
dc.subject.other Lifestyle modification en_ZA
dc.title Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2012 Parker et al.; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Endocrinology and Diabetology en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an Open Access article distributed under the terms of the Creative Commons Attribution License Except where otherwise noted, this item's license is described as This is an Open Access article distributed under the terms of the Creative Commons Attribution License